Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.

<h4>Introduction</h4>Life-course studies are needed to explore how exposures during adolescence, particularly puberty, contribute to later cardiovascular risk and cognitive health in low and middle-income countries (LMIC), where 90% of the world's young people live. The extent of an...

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Main Authors: Joseph L Ward, Katherine Harrison, Russell M Viner, Anthony Costello, Michelle Heys
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0190443
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author Joseph L Ward
Katherine Harrison
Russell M Viner
Anthony Costello
Michelle Heys
author_facet Joseph L Ward
Katherine Harrison
Russell M Viner
Anthony Costello
Michelle Heys
author_sort Joseph L Ward
collection DOAJ
description <h4>Introduction</h4>Life-course studies are needed to explore how exposures during adolescence, particularly puberty, contribute to later cardiovascular risk and cognitive health in low and middle-income countries (LMIC), where 90% of the world's young people live. The extent of any existing cohorts investigating these outcomes in LMIC has not previously been described.<h4>Methods</h4>We performed a systematic literature review to identify population cohort studies of adolescents in LMIC that assessed anthropometry and any of cardiovascular risk (blood pressure, physical activity, plasma glucose/lipid profile and substance misuse), puberty (age at menarche, Tanner staging, or other form of pubertal staging) or cognitive outcomes. Studies that recruited participants on the basis of a pre-existing condition or involved less than 500 young people were excluded.<h4>Findings</h4>1829 studies were identified, and 24 cohorts fulfilled inclusion criteria based in Asia (10), Africa (6) and South / Central America (8). 14 (58%) of cohorts identified were based in one of four countries; India, Brazil, Vietnam or Ethiopia. Only 2 cohorts included a comprehensive cardiovascular assessment, tanner pubertal staging, and cognitive outcomes.<h4>Conclusion</h4>Improved utilisation of existing datasets and additional cohort studies of adolescents in LMIC that collect contemporaneous measures of growth, cognition, cardiovascular risk and pubertal development are needed to better understand how this period of the life course influences future non-communicable disease morbidity and cognitive outcomes.
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spelling doaj-art-cdd2c65493b44e67880e389b08067c2d2025-08-20T03:26:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01131e019044310.1371/journal.pone.0190443Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.Joseph L WardKatherine HarrisonRussell M VinerAnthony CostelloMichelle Heys<h4>Introduction</h4>Life-course studies are needed to explore how exposures during adolescence, particularly puberty, contribute to later cardiovascular risk and cognitive health in low and middle-income countries (LMIC), where 90% of the world's young people live. The extent of any existing cohorts investigating these outcomes in LMIC has not previously been described.<h4>Methods</h4>We performed a systematic literature review to identify population cohort studies of adolescents in LMIC that assessed anthropometry and any of cardiovascular risk (blood pressure, physical activity, plasma glucose/lipid profile and substance misuse), puberty (age at menarche, Tanner staging, or other form of pubertal staging) or cognitive outcomes. Studies that recruited participants on the basis of a pre-existing condition or involved less than 500 young people were excluded.<h4>Findings</h4>1829 studies were identified, and 24 cohorts fulfilled inclusion criteria based in Asia (10), Africa (6) and South / Central America (8). 14 (58%) of cohorts identified were based in one of four countries; India, Brazil, Vietnam or Ethiopia. Only 2 cohorts included a comprehensive cardiovascular assessment, tanner pubertal staging, and cognitive outcomes.<h4>Conclusion</h4>Improved utilisation of existing datasets and additional cohort studies of adolescents in LMIC that collect contemporaneous measures of growth, cognition, cardiovascular risk and pubertal development are needed to better understand how this period of the life course influences future non-communicable disease morbidity and cognitive outcomes.https://doi.org/10.1371/journal.pone.0190443
spellingShingle Joseph L Ward
Katherine Harrison
Russell M Viner
Anthony Costello
Michelle Heys
Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
PLoS ONE
title Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
title_full Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
title_fullStr Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
title_full_unstemmed Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
title_short Adolescent cohorts assessing growth, cardiovascular and cognitive outcomes in low and middle-income countries.
title_sort adolescent cohorts assessing growth cardiovascular and cognitive outcomes in low and middle income countries
url https://doi.org/10.1371/journal.pone.0190443
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